HomeMy WebLinkAboutPermit Electrical 1994-1-6
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Tho f"lIowlng project as submitted hes .tho followinG ~rf) \q
l,IJn1nll, ufld doss not require specific l:;r!fl~'O
INSPECTION REQUEST: 726-3769..,J1uvol. \.rLl Job Number .
OFFICE: 726-3759 . ~
lon,oo L 9."L COKP-l.ETE FEE SCHEDULE BELOII
1. ~QCATJQN OF INST~TIOlf'dl'):j,~;-!t::-'=t--
__1/,C),""1 l flDrfn ~\",,~..j./l. ': "~ure ~ New Resid,;mtial-Single, or
~~ui.ti~._l; ~er dwelllng unit.
,LEG~-l)~JQ.N ()"/ r-. f"'>?"\ Service Included:
I no O'=';:-A- \ .J"'C':L.R .J Items Cost Sum
.JOB DESCRIPTION.~
,-I) (lj /) (l; II;t/);1
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
. 180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor Scofield Electric Co. Relocation:
Address PO Box 2765
Ci ty Eugene
Phone 686-8612
Supervisor License Number 508S
Expiration Date
ro-I-Wq~
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
38702
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
12-21-MOA.
Si"re ~f ,s~ervipn~ctrician
(J~jd;~Jj~
o~ners Name ~ n\oci~ C'CJ(y;\nfL- D.
Address \ \n~ n \ d\ ~'1ITQ1) t-
Ci tiA.!;fl.; ,9 r\), ~hone ~A lo4tm
~~r f'
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~-----------~--l7o:cf4 . _--;---
RECEIPT II: ( // _ ) .'\\ ~V\V\
RECEIVED ni~ ~.JL) - .
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
New, Alteration or Extension Per Panel
---L $ 35.00 ~~
One Ci.rcui t
Each Additional
Circuit or with Servic~
or Feeder Permit -.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
s
EJCO
2.00 n,
not included)
S 40.00
S 40.00
$ 20.00
$ 36.00
L\-600
rl), l'l
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